0000950129-01-503215.txt : 20011009 0000950129-01-503215.hdr.sgml : 20011009 ACCESSION NUMBER: 0000950129-01-503215 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010927 FILED AS OF DATE: 20010928 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HCC INSURANCE HOLDINGS INC/DE/ CENTRAL INDEX KEY: 0000888919 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 760336636 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13790 BUSINESS ADDRESS: STREET 1: 13403 NORTHWEST FRWY CITY: HOUSTON STATE: TX ZIP: 77040-6094 BUSINESS PHONE: 7136907300 COMPANY DATA: COMPANY CONFORMED NAME: WAY STEPHEN L CENTRAL INDEX KEY: 0000900961 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 13403 NORTHWEST FREEWAY CITY: HOUSTON STATE: TX ZIP: 77040 BUSINESS PHONE: 7136907300 MAIL ADDRESS: STREET 1: 13403 NORTHWEST FREEWAY CITY: HOUSTON STATE: TX ZIP: 77040 4 1 h91001e4.txt STEPHEN L. WAY FOR HCC INSURANCE HOLDINGS, INC. 1 ------ -------------------------- FORM 4 OMB APPROVAL ------ -------------------------- [ ] CHECK THIS BOX IF NO OMB Number: 3235-0287 LONGER SUBJECT TO Expires: December 31, 2001 SECTION 16. FORM 4 Estimated average burden OR FORM 5 OBLIGATIONS hours per response.... 0.5 MAY CONTINUE. SEE -------------------------- INSTRUCTION 1(b). UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) Way Stephen L. HCC INSURANCE HOLDINGS, INC. (HCC) to Issuer (Check all applicable) --------------------------------------------- ---------------------------------------------- X Director 10% Owner (Last) (First) (Middle) 3. IRS Identification 4. Statement for ---- --- Number of Reporting Month/Year X Officer (give Other (Specify 13403 Northwest Freeway Person, if an entity September, 2001 ---- title --- below) --------------------------------------------- (voluntary) ------------------- below) (Street) 5. If Amendment, Houston TX 77040 Date of Original --------------------------------------------- -------------------- (Month/Year) -------------------------------- (City) (State) (Zip) 7. Individual or Joint/Group Filing ------------- (Check Applicable Line) X Form filed by One Reporting --- Person Form filed by More than One --- Reporting Person ------------------------------------------------------------------------------------------------------------------------------------ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature (Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In- Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct (Instr. 8) End of Month Direct Benefi- (Month/ (Instr. 3 and 4) (D) or cial Day/ ------------------------------------ Indirect Owner- Year) Code V Amount (A) or Price (I) ship (D) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 09/27/01 M 4,800 A $7.70 ------------------------------------------------------------------------------------------------------------------------------------ 09/27/01 M 75,000 A $17.75 ------------------------------------------------------------------------------------------------------------------------------------ 09/27/01 M 200,000 A $12.0625 ------------------------------------------------------------------------------------------------------------------------------------ 09/27/01 M 75,000 A $12.0625 ------------------------------------------------------------------------------------------------------------------------------------ 09/27/01 D 350,000 D $25.6489 3,571,027 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (3-99)
2
FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv- Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative Deriv- Day/ Disposed of (D) (Month/Day/ Secur- ative Year) (Instr. 3, 4, Year) ity Security and 5) (Instr. 5) ----------------------------------- Date Expira- Amount or -------------------------- Exer- tion Title Number of Code V (A) (D) cisable Date Shares ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $7.70 09/27/01 M 4,800 Note 6/20/ Common 16,000 (Note 1) 1 05 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $22.50 01/02 01/02/ Common 387,500 (Note 2) /98 07 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $16.50 Note 01/02/ Common 450,000 (Note 3) 3 08 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $17.75 09/27/01 M 75,000 12/31 12/31 Common 75,000 (Note 4) /98 04 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $16.375 02/12 01/02/ Common 200,000 (Note 4) /99 05 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $12.0625 09/27/01 M 200,000 Note 6/20/ Common 600,000 (Note 5) 5 06 Stock ------------------------------------------------------------------------------------------------------------------------------------ Option to Purchase $12.0625 09/27/01 M 75,000 01/05 01/05/ Common 75,000 (Note 4) /00 05 Stock ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of 10. Ownership 11. Nature of Derivative Form of Indirect Securities Derivative Beneficial Beneficially Security: Ownership Owned at End Direct (D) (Instr. 4) of Month or Indirect (I) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------- 0 D ------------------------------------------------------------------------------------------------------- 387,500 D ------------------------------------------------------------------------------------------------------- 150,000 D ------------------------------------------------------------------------------------------------------- 0 D ------------------------------------------------------------------------------------------------------- 200,000 D ------------------------------------------------------------------------------------------------------- 400,000 D ------------------------------------------------------------------------------------------------------- 0 D ------------------------------------------------------------------------------------------------------- Explanation of Responses: SEE ATTACHMENT Stephen L. Way /s/ Stephen L. Way 09/27/01 **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. ----------------------------- ---------- See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. Page 2 If space is insufficient, see Instruction 6 for procedure. SEC 1474 (3-99) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
3 ATTACHMENT TO FORM 4 Item 1: Way, Stephen L. 13403 Northwest Freeway Houston, TX 77040 Item 2: HCC Insurance Holdings, Inc. (HCC) Item 4: September, 2001 Table II EXPLANATION OF RESPONSES Note 1. Option to Purchase granted pursuant to 1995 Flexible Incentive Plan. The options vest over a 60-month period, the aggregate number of shares purchasable as follows: 6/20/96 - 1,600; 6/20/97 - 4,000; 6/20/98 - 7,200; 6/20/99 - 11,200; 6/20/00 - 16,000. Note 2. Option to Purchase granted pursuant to 1995 Flexible Incentive Plan. Note 3. Option to Purchase granted pursuant to 1997 Flexible Incentive Plan. The options vest over a 12-month period, the aggregate number of shares purchasable as follows: 1/7/98 - 300,000; 12/31/98 - 450,000 Note 4. Option to Purchase granted pursuant to 1997 Flexible Incentive Plan. Note 5. Option to Purchase granted pursuant to 1997 Flexible Incentive Plan. The options vest over a 3 year period, the aggregate number of shares purchasable as follows: 1/1/01 - 200,000; 1/1/02 - 400,000; 1/1/03 600,000. Page 3 of 3